Individual
CAROL HOLIDAY BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7801 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4242
(682) 841-1475
(682) 708-3775
Mailing address
7801 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4242
(682) 841-1475
(682) 708-3775
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
37244
TX
103TC0700X
Clinical Psychologist
Primary
37244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3675902-01
—
TX
Enumeration date
09/03/2013
Last updated
10/11/2023
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